Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-10-31T01:30:23.743Z Has data issue: false hasContentIssue false

The Westaby T-Y tracheobronchial stent in otolaryngology

Published online by Cambridge University Press:  29 June 2007

P. D. Lacy
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, St. James's Hospital, Dublin, Ireland
J. E. Fenton
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Master Misericordiae Hospital, Dublin, Ireland
D. A. Smyth
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, St. James's Hospital, Dublin, Ireland
M. P. Colreavy
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Master Misericordiae Hospital, Dublin, Ireland
M. A. Walsh
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Master Misericordiae Hospital, Dublin, Ireland
T. P. O'Dwyer
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Master Misericordiae Hospital, Dublin, Ireland
C. V. I. Timon*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, St. James's Hospital, Dublin, Ireland
*
Address for correspondence: Professor C. V. I. Timon, Department of Otolaryngology, Head and Neck Surgery, St James's Hospital, James Street, Dublin 8, Ireland

Abstract

The Westaby T-Y tracheobronchial silicone stent can be used for the relief of upper airway obstruction beyond the limit of a standard tracheostomy tube. We report on our experience in the use of the Westaby tube in 10 patients over a five-year period. The general features of the tube, indications for its use, and its method of insertion are described. The versatility and advantages over other stents are discussed. Two cases reports are described and the clinical course and outcomes of the individual patients are outlined.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cooper, J. D., Pearson, F. G., Patterson, G. A., Todd, T. R., Ginsberg, R. J., Goldberg, M., Waters, P. (1989) Use of silicone stents in the management of airway problems. Annals of Thoracic Surgery 47: 371378.CrossRefGoogle ScholarPubMed
Fenton, J. E., Stack, J., Kelly, P., O'Dwyer, T. P. (1995) Lymphoma and Hashimoto's thyroiditis. Journal of Laryngology and Otology 109: 781783.CrossRefGoogle ScholarPubMed
Harkins, W. B. (1952) An endotracheal metallic prosthesis in the treatment of stenosis of the upper trachea. Annals of Otology, Rhinology and Laryngology 61: 663675.CrossRefGoogle ScholarPubMed
Montgomery, W. W. (1968) The surgical management of supraglottic and subglottic stenosis. Annals of Otology, Rhinology and Laryngology 77: 534546.CrossRefGoogle ScholarPubMed
Montgomery, W. W. (1974) Silicone tracheal t-tube. Annals of Otology, Rhinology and Laryngology 83: 7175.CrossRefGoogle ScholarPubMed
Munsch, C., Westaby, S., Sturridge, M. (1987) Urgent treatment for nonresectable, asphyxiating tracheal cylindroma. Annals of Thoracic Surgery 43: 663664.CrossRefGoogle ScholarPubMed
Pagliero, K. M., Shepherd, M. P. (1974) Use of stainless steel wire coil prosthesis in treatment of anastomotic dehiscence after cervical tracheal resection. Journal of Thoracic and Cardiovascular Surgery 67: 932935.CrossRefGoogle ScholarPubMed
Westaby, S. (1985) Long-term intubation with silicone rubber endotracheal prostheses for injury or inoperable major airways obstruction. Transactions – American Society for Artificial Internal Organs 31: 318323.Google ScholarPubMed
Westaby, S., Jackson, J. W., Pearson, F. G. (1982) A bifurcated silicone rubber stent for relief of tracheobronchial obstruction. Journal of Thoracic and Cardiovascular Surgery 83: 414417.CrossRefGoogle ScholarPubMed
Westaby, S., Shepherd, M. P. (1983) Palliation of intrathoracic tracheal compression with a silastic tracheobronchial stent. Thorax 38: 314315.CrossRefGoogle ScholarPubMed